Medical Diagnostic Network, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

HCC4668 Issued in FL

Legal business name

MEDICAL DIAGNOSTIC NETWORK, INC.

Practice address

184 Golfview Dr
Tequesta, FL 33469-1921

Phone

(561) 745-5450

Fax

(561) 972-7565

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary Greenwood

Title

President

Phone

(561) 745-5450

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1982743837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4633",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691024",
            "telephone_number": "561-745-5450",
            "fax_number": "561-972-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 GOLFVIEW DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691921",
            "telephone_number": "561-745-5450",
            "fax_number": "561-972-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-745-5450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "HCC4668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Leigh McCrudden, M.S. CCC-SLP
• Elsa McGilvray
• David J McPherson, LMHC
• MD Now Medical Centers Inc (MD Now Urgent Care)
• Mecnb, LLC (Helix Medical)
• Medical Supply Shoppe of the Palm Beaches Inc.
• Metavida LLC
• Miami Circle Labs LLC
• Michael David Lukens, PHD., PA
• John D Miller, D.D.S, P.A

• Clinical Medical Laboratory in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.